THERESA PODBIELSKI (NPI# 1306033816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306033816 |
| Entity Type | Individual |
| Full Name | THERESA PODBIELSKI |
| Credential | CPNP |
| Practice Address |
2706 Medical Office Place Goldsboro NC 27534-9460 |
| Practice Telephone | 9197344736 |
| Practice Fax Number | 9195801017 |
| Mailing Telephone | 9197344736 |
| Mailing Fax Number | 9195801017 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2013-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20071549 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2706 MEDICAL OFFICE PLACE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538785 | Joseph W Ponzi | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2006-06-17 |
| 1588954721 | Elisabeth Ann Heiser Stup | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534 | 2011-04-08 |
| 1275690174 | Nancy Sayers | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1265599161 | Lydia Asper Swackhammer | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1144387044 | Jennifer A Perkins | Physician Assistant | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1588721484 | Valerie S Bailey | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1679640429 | Carey Ziemer | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2006-11-29 |
| 1588731335 | Christopher P Griffin | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2006-11-29 |
| 1427125269 | Goldsboro Pediatrics Pa | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2006-11-29 |
| 1932276797 | Erika S Boyd | Pediatrics | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2006-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306960620 | Karen Sue Lewis | Nurse Practitioner | 214 Buck Run Dr, Goldsboro, NC 27530-7937 | 2007-03-19 |
| 1295718682 | Mary Eileen Maloy Witt | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2005-11-21 |
| 1033456991 | Katie Michelle Anthony | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2013-01-12 |
| 1598049843 | Lane Natividad | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2011-10-05 |
| 1275690174 | Nancy Sayers | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1265599161 | Lydia Asper Swackhammer | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1588721484 | Valerie S Bailey | Nurse Practitioner | 2706 Medical Office Place, Goldsboro, NC 27534-9460 | 2007-01-02 |
| 1912076688 | Frances Maureen Ballentine | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.